{{ extra_type }} {{ extra_choice }}
<input type="hidden" name="extra_type_{{ extra_id }}" value="{{ extra_type }}"/>
<input type="hidden" name="extra_choice_{{ extra_id }}" value="{{ extra_choice }}"/>
<input type="text" name="value_for_extra_{{ extra_id }}" size="2"/>
<a href="javascript:remove('extra_{{extra_id}}');"><img src="/qbuilder/media/clear.png" height="18px"/></a>
